Provider Demographics
NPI:1699095844
Name:MURAUSKI, DANIEL JAMES (DO)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JAMES
Last Name:MURAUSKI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 BURTON AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-4812
Mailing Address - Country:US
Mailing Address - Phone:630-853-0915
Mailing Address - Fax:
Practice Address - Street 1:1732 W HUBBARD ST STE 2A
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-6271
Practice Address - Country:US
Practice Address - Phone:773-675-1400
Practice Address - Fax:773-598-6616
Is Sole Proprietor?:No
Enumeration Date:2010-06-09
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.132497207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine